scholarly journals Women’s Empowerment and Infant and Young Child Feeding Practice in Low- and Middle-Income Countries: A Systematic Review

Author(s):  
Eka Mishbahatul Mar’ah Has ◽  
Nursalam Nursalam ◽  
Yuni Sufyanti Arief
Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 722 ◽  
Author(s):  
Zohra S. Lassi ◽  
Fahad Rind ◽  
Omar Irfan ◽  
Rabia Hadi ◽  
Jai K. Das ◽  
...  

Undernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched multiple databases including Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE. Title/abstract screening and full-text screening and data extraction filtered 77 studies for inclusion. Breastfeeding education interventions (n = 38) showed 20% increase in rates of early initiation of breastfeeding, 102% increase in exclusive breastfeeding (EBF) at 3 months and 53% increase in EBF at 6 months and 24% decreases in diarrheal diseases. Complementary feeding education intervention (n=12) showed a 0.41 standard deviation (SD) increase in WAZ, and 0.25 SD in HAZ in food secure setting. Complementary food provision with or without education (n=17) showed a 0.14 SD increase in HAZ and 36% decrease in stunting. Supplementary food interventions (n=12) showed a significant 0.15 SD increase in WHZ. Subgroup analyses showed healthcare professional led interventions were largely more effective, especially on breastfeeding outcomes. We believe this is a comprehensive review of the existing literature on IYCF studies in LMICs. Though breastfeeding education is well supported in its effectiveness on breastfeeding practices, limited evidence exists for growth outcomes. Supplementation interventions seem to have better effects at improving growth. However, more research is required to reach more substantial conclusions.


2020 ◽  
Author(s):  
Alinoor Mohamed Farah ◽  
Tahir Yousuf Nour ◽  
Bilal Shikur Endris ◽  
Seifu Hagos Gebreyesus

AbstractBackgroundNutrition transition in many low- and middle-income countries (LMICs) has led to childhood nutritional outcomes to shift from a predominance of undernutrition to a dual burden of under- and overnutrition. Yet, Infant and young child feeding programs in Ethiopia mainly focus on undernutrition. It is therefore crucial to assess the prevalence and determinants to better inform infant young child feeding programs.MethodsWe analyzed anthropometric, sociodemographic and dietary data of children aged 6-23 months from 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 2,674 children were included in the current study. Concurrent of Stunting and Overweight/Obesity (CSO) prevalence was estimated by distal, intermediate and proximal factors. To identify factors associated with CSO, we conducted hierarchical logistic regression analyses.ResultsThe overall prevalence of CSO was 2.45%. The odds of CSO was significantly higher in children of low household wealth category, compared to their counter parts in the richest category (AOR=2.07, 95%CI=1.06–4.03, P=0.033). In boys, the likelihood of CSO was 1.60 times that of girls (95%CI =1.03–2.49, P=0.038). Above 12months of age was significantly associated with a higher odd of CSO, compared to below 12months of age (AOR=1.76, 95% CI=1.07– 2.88, P=0.026).Small birth size was significantly associated with a higher odd of CSO, compared to large birth size (AOR=2.53, 95%CI=1.45–4.41, P=0.001). Children who did not take vitamin A supplement within the previous six months had a higher odd of CSO, compared to those who took (AOR=1.91, 95%CI =1.19–3.07, P =0.007).ConclusionOur study provided evidence on the co-existence of stunting and overweight/obesity among infants and young children in Ethiopia. CSO was associated with various factors originating from community and child levels. Therefore, identifying children at risk of growth flattering and excess weight gain provides IYCF programs in Ethiopia and beyond with an opportunity of earlier interventions.


2020 ◽  
Vol 10 (1) ◽  
pp. 54-59
Author(s):  
Mazhar Ul Haq ◽  
Rukhsana Khan ◽  
Arshia Bilal ◽  
Lajpat . ◽  
Saira Almas ◽  
...  

Background: Lack of proper practices account for the deaths of 1.4 million children of <5 years globally. Optimal Infant and Young Child Feeding practices are recognized as the most valuable approach for improving child survival and development. We aimed to assess the knowledge and practices and to determine the factors affecting Infant and Young Child Feeding practices among mothers of children 0-23 months of Taluka Hospital Matli, Badin District, Sindh Methods: A descriptive hospital-based cross-sectional study was conducted with the sample of 279 mothers visiting pediatric OPD of Taluka Hospital Matli, Badin District, Sindh-Pakistan from 1st October to 31st December 2016. The sample was collected by using non probability consecutive sampling technique and structured pretested questionnaire. Results: 94% of women had the knowledge of when to start breastfeeding after delivery. There is a strong association between maternal education and 0-23 month’s children receiving bottle feed and also a strong association between the information providers and bottle feeding practice. Conclusion: We have found a good dependence of birth weight of the newborn with the monthly income of the household. LHWs and nurses were main sources of information provider about breastfeeding.


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